VGLZ 242008 AF Form 66 Replace Utility Pole 97 Jefferson Ave.xls

Air Force Form XLS spreadsheet 45 KB Posted

Attached to
VGLZ 242008 - Replace Utility Pole
Solicitation number
W50S8524B0004
Issued by

About this file

This document is an AF Form 66 Schedule of Material Submittals for the federal contract opportunity to Replace Utility Pole #97 on Jefferson Ave at Selfridge Air National Guard Base in Michigan. The project has a period of performance of 120 calendar days after the Notice to Proceed, is a 100% small business set-aside, and has a project magnitude between $25,000 and $100,000. The required submittals include product specifications, safety data sheets, warranties, pole components, and test reports. Prospective bidders are encouraged to attend a pre-bid conference and site visit. The solicitation will be posted on the federal contract opportunities website at SAM.gov.

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Text version

SCHEDULE OF MATERIAL SUBMITTALS
(AF Form 66 Modified)PROJECT NO.PROJECT TITLESOLICITATION/CONTRACT NO.
VGLZ 242008Replace Utility Pole #97 - Jefferson Ave.
TO BE COMPLETED BY PROJECT ENGINEER
NO. OF COPIES REQUIRED
LINE NUMBERITEM OR DESCRIPTION OF ITEM, CONTRACT REFERENCE, TYPE OF SUBMITTALCERTIFICATION OF COMPLIANCE AND CLOSEOUTSHOP DRAWINGSSAMPLESCOLOR SELECTIONMANUFACTURER'S RECOMMENDATIONSMANUFACTURER'S WARRANTYCATALOG DATAOTHER MATERIAL or DATAOPERATING INSTRUCTIONSSUBMITTAL

REQUIRED

BY 14 DAYS

AFTER

NTP DATE

RECEIVED

IN

CONTRACTING DATE

TO

CIVIL

ENGINEERING RETURN

SUSPENSION

DATEFOLLOW-UPDATE CONTRACTOR NOTIFIEDCONTRACTOR RESUBMITTALFINAL
APPROVALREMARKS
APPROVEDDISAPPROVED
1SANGB Form 23
2Recycling and Disposal Form
3Affirmative Procurement Reporting Form
4DD Form 1354
5Product specification cut-sheetsxxXXXXX
6Product Safety Data Sheetsxxxxxxx
7Warranty of workX
8New Type 2, 60-foot treated wood pole with new componentsxxxxxxx
93” Aluminum label with feeder number and pole numberxxxxxxx
10New single cross arms (3), pole risers, grounding system, fuse cutouts, and insulatorsxxxxxx
11Lightning Arrestorsxxxxxx
12copper ground cablesxxxxxx
13copper ground rodxxxxxx
14Certified signed test reportx
15
16
SCHEDULE OF MATERIAL SUBMITTALS
(AF Form 66 Modified)PROJECT NO.PROJECT TITLESOLICITATION/CONTRACT NO.
VGLZ 242008Replace Utility Pole #97 - Jefferson Ave.
TO BE COMPLETED BY PROJECT ENGINEER
NO. OF COPIES REQUIRED
LINE NUMBERITEM OR DESCRIPTION OF ITEM, CONTRACT REFERENCE, TYPE OF SUBMITTALCERTIFICATION OF COMPLIANCE AND CLOSEOUTSHOP DRAWINGSSAMPLESCOLOR SELECTIONMANUFACTURER'S RECOMMENDATIONSMANUFACTURER'S WARRANTYCATALOG DATAOTHER MATERIAL or DATAOPERATING INSTRUCTIONSSUBMITTAL

REQUIRED

BY 14 DAYS

AFTER NTP DATE

RECEIVED

IN

CONTRACTING DATE

TO

CIVIL

ENGINEERING RETURN

SUSPENSION

DATEFOLLOW-UPDATE CONTRACTOR NOTIFIEDCONTRACTOR RESUBMITTALFINAL
APPROVALREMARKS
APPROVEDDISAPPROVED
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SCHEDULE OF MATERIAL SUBMITTALS
(AF Form 66 Modified)PROJECT NO.PROJECT TITLESOLICITATION/CONTRACT NO.
VGLZ 242008Replace Utility Pole #97 - Jefferson Ave.
TO BE COMPLETED BY PROJECT ENGINEER
NO. OF COPIES REQUIRED
LINE NUMBERITEM OR DESCRIPTION OF ITEM, CONTRACT REFERENCE, TYPE OF SUBMITTALCERTIFICATION OF COMPLIANCE AND CLOSEOUTSHOP DRAWINGSSAMPLESCOLOR SELECTIONMANUFACTURER'S RECOMMENDATIONSMANUFACTURER'S WARRANTYCATALOG DATAOTHER MATERIAL or DATAOPERATING INSTRUCTIONSSUBMITTAL

REQUIRED

BY 14 DAYS

AFTER NTP DATE

RECEIVED

IN

CONTRACTING DATE

TO

CIVIL

ENGINEERING RETURN

SUSPENSION

DATEFOLLOW-UPDATE CONTRACTOR NOTIFIEDCONTRACTOR RESUBMITTALFINAL
APPROVALREMARKS
APPROVEDDISAPPROVED
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SCHEDULE OF MATERIAL SUBMITTALS
(AF Form 66 Modified)PROJECT NO.PROJECT TITLESOLICITATION/CONTRACT NO.
VGLZ 242008Replace Utility Pole #97 - Jefferson Ave.
TO BE COMPLETED BY PROJECT ENGINEER
NO. OF COPIES REQUIRED
LINE NUMBERITEM OR DESCRIPTION OF ITEM, CONTRACT REFERENCE, TYPE OF SUBMITTALCERTIFICATION OF COMPLIANCE AND CLOSEOUTSHOP DRAWINGSSAMPLESCOLOR SELECTIONMANUFACTURER'S RECOMMENDATIONSMANUFACTURER'S WARRANTYCATALOG DATAOTHER MATERIAL or DATAOPERATING INSTRUCTIONSSUBMITTAL

REQUIRED

BY 14 DAYS

AFTER NTP DATE

RECEIVED

IN

CONTRACTING DATE

TO

CIVIL

ENGINEERING RETURN

SUSPENSION

DATEFOLLOW-UPDATE CONTRACTOR NOTIFIEDCONTRACTOR RESUBMITTALFINAL
APPROVALREMARKS
APPROVEDDISAPPROVED
11
12
13
14
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